Organization
OPTIMAL PREVENTIVE MEDICINE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SYLVIA RENEE MEDLEY M.D., M.P.H (OWNER/MEDICAL DIRECTOR)
(202) 296-1438
Entity
Organization
Contact information
Practice address
2112 F STREET, NW, SUITE 501, WASHINGTON, DC 20037
(202) 296-1438
(202) 296-1549
Mailing address
2112 F STREET, NW, SUITE 501, WASHINGTON, DC 20037
(202) 296-1438
(202) 296-1549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD304445
DC
2083P0901X
Public Health & General Preventive Medicine Physician
MD304445
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00199114007
UNITED HEALTH CARE
—
01
—
3850189
CIGNA
DC
01
—
4284019
AETNA
DC
01
—
Y58800001
CAREFIRST BLUE CROSS BLUE SHIELD
DC
Enumeration date
12/30/2011
Last updated
03/21/2012
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